PMID- 25572868
OWN - NLM
STAT- MEDLINE
DCOM- 20160502
LR  - 20191210
IS  - 1435-165X (Electronic)
IS  - 1018-8827 (Linking)
VI  - 24
IP  - 10
DP  - 2015 Oct
TI  - Evaluating change in symptomatic and functional level of children and youth with 
      emotional disorders: a naturalistic observation study.
PG  - 1219-31
LID - 10.1007/s00787-014-0671-3 [doi]
AB  - The objective of the study is to describe the changes in symptomatic and 
      functional impairment for children and youth with emotional disorders treated at 
      child and adolescent mental health outpatient services (CAMHS) in Norway. The 
      study was of naturalistic observational type in which the treatment can be 
      classified as "treatment as usual" (TAU). The Strengths and Difficulties 
      Questionnaire (SDQ), the Health of the Nation Outcome Scale (HONOSCA) and the 
      Children's Global Assessment Scale (CGAS) were used as measures of change. The 
      information from multiple informants allowed the evaluation of change from 
      different perspectives. The sample consisted of 84 children and youth with 
      emotional disorders treated at two CAMHS in the North of Norway. The SDQ, the 
      HONOSCA and the CGAS were administered at intake (T0), during assessment (T1) and 
      approximately, 6 months after T1 (T2). Change was analysed by means of the Linear 
      Mixed Models procedure. The results show that children and youth with emotional 
      disorders experience a statistically significant improvement per month during 
      outpatient treatment according to nearly all the measures of change. For the 
      clinician rated scores, change rates during active assessment/treatment were 
      larger than during the waitlist period. Evaluating change from the perspective of 
      clinical significance showed that only a small proportion of the subjects had 
      change scores that were statistically reliable and clinically significant. 
      Whether an actual change has occurred is uncertain for the majority of patients.
FAU - Nilsen, Toril Sorheim
AU  - Nilsen TS
AD  - Research Group for Clinical Psychology, Department of Psychology, Faculty of 
      Health Sciences, UiT The Arctic University of Norway, 9037, Tromso, Norway. 
      toril.nilsen@uit.no.
AD  - Divisions of Child and Adolescent Health, Department of Child and Adolescent 
      Psychiatry, University Hospital of North-Norway, Tromso, Norway. 
      toril.nilsen@uit.no.
FAU - Handegard, Bjorn-Helge
AU  - Handegard BH
AD  - Regional Centre for Child and Youth Mental Health and Child Welfare, UiT The 
      Arctic University of Norway, Tromso, Norway.
FAU - Eisemann, Martin
AU  - Eisemann M
AD  - Research Group for Mental e-Health, Department of Psychology, UiT The Arctic 
      University of Norway, Tromso, Norway.
FAU - Kvernmo, Siv
AU  - Kvernmo S
AD  - Divisions of Child and Adolescent Health, Department of Child and Adolescent 
      Psychiatry, University Hospital of North-Norway, Tromso, Norway.
AD  - Research Group of Paediatrics, Department of Clinical Medicine, Faculty of Health 
      Sciences, UiT The Arctic University of Norway, Tromso, Norway.
LA  - eng
PT  - Journal Article
PT  - Observational Study
PT  - Research Support, Non-U.S. Gov't
DEP - 20150109
PL  - Germany
TA  - Eur Child Adolesc Psychiatry
JT  - European child & adolescent psychiatry
JID - 9212296
SB  - IM
MH  - Adolescent
MH  - Affective Symptoms/*diagnosis/epidemiology/*therapy
MH  - Ambulatory Care/*statistics & numerical data
MH  - Child
MH  - Child, Preschool
MH  - Community Mental Health Services/*methods
MH  - Female
MH  - Humans
MH  - Male
MH  - Mood Disorders/diagnosis/therapy
MH  - Norway/epidemiology
MH  - Outcome Assessment, Health Care
MH  - Surveys and Questionnaires
OTO - NOTNLM
OT  - Anxiety
OT  - Depression
OT  - Emotional disorders
OT  - Outpatient
OT  - Treatment outcome
EDAT- 2015/01/13 06:00
MHDA- 2016/05/03 06:00
CRDT- 2015/01/10 06:00
PHST- 2014/09/05 00:00 [received]
PHST- 2014/12/25 00:00 [accepted]
PHST- 2015/01/10 06:00 [entrez]
PHST- 2015/01/13 06:00 [pubmed]
PHST- 2016/05/03 06:00 [medline]
AID - 10.1007/s00787-014-0671-3 [pii]
AID - 10.1007/s00787-014-0671-3 [doi]
PST - ppublish
SO  - Eur Child Adolesc Psychiatry. 2015 Oct;24(10):1219-31. doi: 
      10.1007/s00787-014-0671-3. Epub 2015 Jan 9.